Organization
PRAIRIE REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE S GLASOE OTR/L, CHT (ADMINISTRATOR)
(605) 334-5630
Entity
Organization
Contact information
Practice address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Mailing address
1720 S CLIFF AVE, SIOUX FALLS, SD 57105-2129
(605) 334-5630
(605) 332-5327
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
022510002
MN
332B00000X
Durable Medical Equipment & Medical Supplies
0225410001
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123082
U CARE
MN
01
—
16G65PR
BLUE CROSS BLUE SHEILD MN
MN
01
—
16G67PR
BLUE CROSS BLUE SHEILD MN
SD
01
—
3730832-00
MHCP
MN
01
—
4994838
BLUE CROSS BLUE SHIELD SD
SD
01
—
4998209
BLUE CROSS BLUE SHEILD SD
SD
01
—
4998216
BLUE CROSS BLUE SHIELD SD
SD
01
—
4998553
BLUE CROSS BLUE SHEILD SD
SD
01
—
596595
ARAZ
SD
01
—
8736521
DAKOTACARE
SD
01
—
8B710PR
BLUE CROSS BLUE SHIELD MN
MN
01
—
8B713PR
BLUE CROSS BLUE SHIELD MN
SD
01
—
9204836
DAKOTACARE
MN
01
—
9206761
DAKOTACARE
MN
01
—
9213674
DAKOTACARE
SD
01
—
9226612
DAKOTACARE
SD
01
—
9G902PR
BLUE CROSS BLUE SHIELD MN
MN
01
—
9G904PR
BLUE CROSS BLUE SHEILD MN
SD
Enumeration date
09/21/2005
Last updated
08/17/2009
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